G357 A study on etiological profile of disabling sensorineural hearing loss in pediatric age group at a tertiary care centre

Author(s):  
V Joshi ◽  
N Desai ◽  
M Kirtane ◽  
S Udani
Author(s):  
O. P. Shrivastava ◽  
Anuj Gupta

<p class="abstract"><strong>Background:</strong> The prevalence of sensorineural hearing loss (SNHL) is 2-3 per 1000 live births in India, and out of 1000 babies, 1 is having profound degree of hearing loss at birth or in the pre-lingual age group. Hearing loss is categorized as syndromic or non-syndromic hearing loss. The present study was done to identify and diagnose children with SNHL and study the etiological profile, so that all necessary timely precautions may be taken as SNHL in pediatric age group affects not only development of speech and language, but also emotional, social and behavioural development.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional observational study was carried out in Department of ENT of a tertiary care centre, in 50 children with congenital SNHL. Data on epidemiological and etiological factors were collected. All cases were analyzed for detailed history and underwent clinical and audiological assessment.  </p><p class="abstract"><strong>Results:</strong> Majority of cases presented between 2 and 4 years of age, however age of detection of congenital deafness by parents was most commonly observed in 6-12 months of age. Out of 50 cases, the maximum number of cases [14 (28%)] were having history of antenatal complications, 11 (22%) cases were having adverse perinatal and postnatal history, while in remaining cases, the etiological factors remained undetermined. In one case associated syndrome was observed (Van der Hoeve’s syndrome).</p><p class="abstract"><strong>Conclusions:</strong> The increased occurrence of etiologies in this study was of prenatal origin, followed by perinatal origin. The present study conducted at a tertiary centre reflects the need of 'High risk' registry maintenance with active surveillance and subsequent screening for early detection of hearing loss.</p><p class="abstract"> </p>


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Sangeet Kumar Agarwal ◽  
Satinder Singh ◽  
Samarjit Singh Ghuman ◽  
Shalabh Sharma ◽  
Asish Kr. Lahiri

Introduction. Congenital sensorineural hearing loss is one of the most common birth defects with incidence of approximately 1 : 1000 live births. Imaging of cases of congenital sensorineural hearing loss is frequently performed in an attempt to determine the underlying pathology. There is a paucity of literature from India and for this reason we decided to conduct this study in Indian context to evaluate the various cochleovestibular bony and nerve anomalies by HRCT scan of temporal bone and MRI with 3D scan of inner ear in a tertiary care centre.Material and Methods. A total of 280 children with congenital deafness (158 males and 122 females), between January 2002 to June 2013 were included in the study and they were assessed radiologically by HRCT scan of temporal bone and MRI with 3D scan of inner ear.Results. In the present study we found various congenital anomalies of bony labyrinth and vestibulocochlear nerve. Out of 560 inner ears we found 78 anomalous inner ears. Out of these 78 inner ears 57 (73%) had cochlear anomaly, 68 (87.1%) had anomalous vestibule, 44 (56.4%) had abnormal vestibular aqueduct, 24 (30.7%) had anomalous IAC, and 23 (29.4%) had abnormal cochleovestibular nerves.Conclusion. In present study, we found lower incidences of congenital anomalies comparative to existing literature.


2019 ◽  
Vol 7 (1) ◽  
pp. 117
Author(s):  
Suresh Kagalkar ◽  
Surendra Kumar Agarwal

Background: Nephrolithiasis is major problem in India. It is more prevalent in northern states of India and Karnataka is not an exception to this. Percutaneous nephrolithotomy (PCNL) has been accepted globally as a safe procedure with great success rate with less complication, and it is safe, effective, and suitable for pediatric cases. The aims and objectives of the study were to evaluate the indication of PCNL in children, to identify the complication, prevention and treatment of complication and to evaluate the efficacy and safely, management of kidney stones in children.Methods: Study period Aug 2015 July 2018, total 56 cases of renal stones in pediatric age group admitted in our Hospital, a tertiary care centre. All the patients evaluated for complete urine analysis, urine culture and sensitivity, complete hemogram, renal parameter, X ray KUB (kidney, ureter, and bladder), ultrasound KUB etc.Results: Small-stone (<2 cm) seen in 21.4% and large stone 64.2%. Following complications were noted- Pelvic perforations (3.5%), fever (7.1%) and hematuria (7.1%).Conclusions: PCNL is safe and effective procedure for the managements of renal stones in children with acceptable morbidity. 


Author(s):  
Vrutika H. Shah ◽  
Vidya D. Kharkar

<p class="abstract"><strong>Background: </strong>In recent years, the demand for dermatological consultations in the emergency department has increased. However, most of the publications of dermatological emergencies deal with the general population, without taking into account the changes in frequencies found in young children (ages 0-14 years). Dermatological emergencies in pediatric age group are not uncommon. The aim of our study was to analyse the spectrum of dermatological emergencies in the pediatric age group.</p><p class="abstract"><strong>Methods:</strong> A hospital‑based observational study was conducted at the Department of Dermatology of tertiary care centre, between September 2019 and February 2020. Thirty pediatric patients (age ≤16 years) who had visited Dermatology Outpatient Department (OPD) and emergency department were included in this study.</p><p class="abstract"><strong>Results:</strong> Total thirty patients were included in this study. The male to female ratio was 2:1. The average age of the study was 7.6 years. Maximum cases were in school-aged children (6 to 12 years), which were 12 (40%). The average duration of illness was 36.04 days. The most common condition was inherited conditions (23%) followed by primary cutaneous infections (20%). The cases were divided as 7 (23%) inherited conditions, 6 (20%) cases of infections, 5 (17%) cases each of vasculitis and cutaneous adverse drug reaction and 7 (23%) miscellaneous cases.</p><strong>Conclusions: </strong>Pediatric dermatological emergencies require an interdisciplinary approach for timely intervention. Standardised protocol should be followed in their management to prevent complications like acute skin failure. Early referral of these patients with primary skin conditions to the dermatologists might result in better clinical outcome and decreased mortality. <p> </p>


2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Vani Chandrashekar

The aim of this study was to identify common stool parasites in patients attending a tertiary care centre in South India. We evaluated 2355 stool samples and parasites were detected in 7.9% of samples. 41.1% of our patients were in the 45–58-year age group. Protozoal infections were the commonest seen in 7.8% of samples. Entamoeba histolytica was the commonest protozoa (4.6%) followed by Entamoeba coli (1.2%) and Giardia (0.8%). Entamoeba histolytica and Entamoeba coli were together seen in 0.63%, and they were the commonest organisms seen in samples with multiple-organism infection. Both were equally detected in diarrheal samples.


2012 ◽  
Vol 32 (2) ◽  
pp. 142-145 ◽  
Author(s):  
B Sigdel ◽  
R Nepali

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673


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